| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
118 |
117 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
934 |
771 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
372 |
370 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
86 |
84 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
16 |
16 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$830.88 |
| 73564 |
|
26 |
26 |
$289.21 |
| 73610 |
|
12 |
12 |
$106.08 |